| NPI | 1497286934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0064073) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2024-1279) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2025-02-20 |